Beatrice Lang
Breast pumps can be expensive, so it's important to know what your insurance covers. UnitedHealthcare is one of the few insurance companies that, for most plans, do not require a prescription from your doctor or midwife to receive your breast pump. Most UnitedHealthcare benefit plans include coverage for the purchase of a personal-use, double-electric breast pump at no cost to you. However, some UnitedHealthcare policies have more in-depth stipulations, and some do not cover pumps at all.
| Characteristics | Values |
|---|---|
| Company | UnitedHealthcare |
| Coverage | Breast pumps are covered by most UnitedHealthcare insurance policies at 100% |
| Cost | No cost to patients |
| Types of pumps covered | Personal-use, double-electric breast pumps |
| Brands | Medela, Motif, Spectra, Elvie, Ameda, Lansinoh, Willow, Freemie |
| Prescription required | Yes, a prescription is required for certain plans |
| Additional benefits | Lactation counselling, maternity support bands, postpartum compression garments |
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What You'll Learn
- UnitedHealthcare benefit plans cover the cost of a personal-use, double-electric breast pump
- UnitedHealthcare insurance policies cover a breast pump at 100% as a preventive benefit
- UnitedHealthcare insurance plans cover lactation counselling and support at no cost
- UnitedHealthcare insurance plans cover maternity and postpartum compression garments
- UnitedHealthcare insurance plans do not require a prescription from a doctor or midwife to receive a breast pump
UnitedHealthcare benefit plans cover the cost of a personal-use, double-electric breast pump
Breastfeeding has many health benefits for both mothers and babies. Studies have shown that breastfed babies have a lower risk of asthma, childhood leukemia, obesity, ear infections, SIDS, respiratory diseases, and Type 2 diabetes. For mothers, nursing can lower the risk of Type 2 diabetes, ovarian cancer, and certain types of breast cancer.
To request a breast pump, you can call the phone number on your health plan ID card or contact one of the national network providers. You may also be able to order your breast pump through an online retailer partnered with your insurance plan. In some cases, you may need a prescription from an authorized healthcare provider, so be sure to check the details of your specific plan.
In addition to providing coverage for breast pumps, most UnitedHealthcare plans also include coverage for lactation counseling and support. This may include lactation support classes, counseling during office or outpatient visits, and inpatient admission if you deliver in a hospital. Navigating insurance coverage can be challenging, but there are resources available to help you understand your specific benefits and take full advantage of your coverage.
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UnitedHealthcare insurance policies cover a breast pump at 100% as a preventive benefit
UnitedHealthcare also provides coverage for compression garments. These are medical-grade garments designed to provide support, relief, and stabilization for increased comfort during pregnancy and to assist with postpartum healing. Additionally, UHC commercial plans cover up to 12 sets of replacement parts for your pump.
If you are experiencing challenges with breastfeeding, such as latching difficulties, pain, or low milk production, lactation counseling can be very helpful. Most UnitedHealthcare plans include coverage for lactation counseling with a network provider, including lactation support classes, or lactation counseling during an outpatient visit or inpatient admission.
To request a breast pump, call the phone number on your UnitedHealthcare plan ID card, or contact one of their national network providers. You will need a prescription from a UHC-authorized physician, physician assistant, nurse practitioner, or nurse-midwife. This prescription must specify the type of breast pump (manual or standard electric) but does not need to specify a brand, model, or style.
It is important to note that UnitedHealthcare does not cover all types of breast pumps. Most plans do not cover manual, hospital-grade (multi-user), or hands-free pumps. Additionally, you will not be reimbursed for a breast pump purchased at a retail store.
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UnitedHealthcare insurance plans cover lactation counselling and support at no cost
Breastfeeding is natural, but it is common to need help, especially at first. Lactation counselling can be very helpful if you have challenges with breastfeeding, such as latching difficulties, pain, or low milk production. Most UnitedHealthcare plans include coverage for lactation counselling with a network provider, including lactation support classes, or lactation counselling during an office or other outpatient visit. If you deliver in a hospital, most benefit plans also include coverage for lactation support during your inpatient admission.
If you are a UnitedHealthcare Community Plan member, you can also visit uhchealthyfirststeps.com or call 1-800-599-5985, Monday through Friday, 8:00 a.m. to 5:00 p.m. local time, to learn if you are eligible to earn rewards for attending prenatal, postpartum, and children's wellness appointments.
The Lactation Network (TLN), the nation's largest network for insurance-covered lactation services, is now in-network with UnitedHealthcare (UHC). Members of UHC's Commercial Plans can find and access personalized, clinical lactation care through TLN in 49 states (Hawaii pending). TLN is the only national network offering this crucial care in person through health insurance. Services include lactation consultations, including in-home and office, for prenatal, postpartum, and even return-to-work support.
Most UnitedHealthcare benefit plans include coverage for the purchase of a personal-use, double-electric breast pump at no cost to you. These are the most common pumps and they closely simulate the action of a breastfeeding infant. If you get your health insurance through work, many electric or wearable breast pumps at Optum Now may be fully covered by your benefits.
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UnitedHealthcare insurance plans cover maternity and postpartum compression garments
UnitedHealthcare insurance plans offer comprehensive maternity support, including coverage for breast pumps and postpartum compression garments. The company provides health insurance in all 50 states, and its large network of clinical professionals ensures accessible care for its members.
Most UnitedHealthcare benefit plans cover the cost of a personal-use, double-electric breast pump. These pumps effectively simulate the action of a breastfeeding infant, making them a popular choice for new mothers. To obtain a breast pump, individuals can contact their chosen supplier, who may request the doctor's details and the baby's due date or delivery date. Alternatively, calling the phone number on one's health plan ID card can help initiate the process.
In addition to breast pumps, UnitedHealthcare insurance plans also cover maternity and postpartum compression garments. These specially designed products offer support, relief, and stabilization to accommodate a mother's changing body during and after pregnancy. Compression garments can help enhance comfort during pregnancy and aid in postpartum healing.
UnitedHealthcare is committed to providing valuable resources and support to expecting and new mothers. Their maternity support programs include lactation counselling, with network providers offering lactation support classes and individual counselling during office or outpatient visits. Additionally, their online platform, myuhc.com, features exclusive maternity video courses covering various topics, including nutrition, exercise, breastfeeding, and postpartum care.
For those seeking to utilize their UnitedHealthcare insurance benefits for breast pumps or compression garments, it is essential to understand the specific coverage details of one's plan. While most plans cover these items, there may be variations in deductibles and coinsurance requirements.
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UnitedHealthcare insurance plans do not require a prescription from a doctor or midwife to receive a breast pump
UnitedHealthcare insurance plans typically cover the cost of a breast pump, which is great news for new and expecting parents. While most insurance companies now cover breast pumps, they may have different stipulations and guidelines. For example, some may require prescriptions or prior authorisation.
UnitedHealthcare, however, does not require a prescription from a doctor or midwife for you to receive a breast pump. This is in contrast to other insurance companies and makes the process easier for new and expecting mothers. While UnitedHealthcare does not require a prescription, they will request the name and contact information of your physician or midwife when filing your breast pump claim. This is to ensure they have the information should they need to contact them.
UnitedHealthcare insurance plans cover the cost of a personal-use, double-electric breast pump at no cost to you. These are the most common pumps and they closely simulate the action of a breastfeeding infant. You can find out which brands are included by contacting the national breast pump suppliers. Other types of breast pumps include manual breast pumps, hospital-grade (multi-user) pumps and hands-free pumps, which are typically not covered by UnitedHealthcare benefit plans.
To request a breast pump, you can call the phone number on your health plan ID card, or contact one of the national network providers.
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Frequently asked questions
Yes, most UnitedHealthcare insurance policies cover a breast pump at 100% as a preventive benefit.
It depends on your insurance plan. Some UnitedHealthcare plans do not require a prescription, but others do. Check your unique coverage to be sure.
To get a breast pump through UnitedHealthcare, you can contact a breast pump supplier directly or use a service like Aeroflow Breastpumps, 1 Natural Way, or Pumps for Mom, which can help you qualify for an insurance-covered breast pump.
According to UnitedHealthcare, qualified members may obtain a breast pump within 30 days of their estimated delivery date. However, it is recommended to submit your information early to avoid long wait times.
